Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.17 / $88.17 / $105.80	Facility		$88.17	$88.17	$105.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $68.42 / $88.17	Professional		$63.40	$68.42	$88.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $156.60 / $185.63	Facility		$156.60	$156.60	$185.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $74.94	Professional		$71.42	$71.42	$74.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $103.88	Professional		$71.13	$71.13	$103.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $126.79 / $391.34	Professional		$126.79	$126.79	$391.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $78.13 / $92.76	Professional		$52.08	$78.13	$92.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $129.01 / $164.19	Professional		$117.28	$129.01	$164.19